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r <br />State Project No <br />NORTH CAROLINA DEPARTMENT OF TRANSPORTATION <br />RIGHT OF WAY WARRANT DELIVERY CERTIFICATION <br />9.8070220 <br />Federal Project No. N/A <br />Claimant Orange County <br />County Orange <br />Parcel No. 48 I. D. No. U -31 00A <br />I hereby certify that Department of Transportation Warrant Number 1138526 in the sum of <br />$ 5,175.00 was delivered personally by me to the payee, <br />,on ,20 01 <br />The following deductions or charges were made from the warrant. <br />ITEMIZED DEDUCTIONS OR CHARGES <br />NONE <br />Total deductions or charges <br />We, acknowledge receipt of the sum as set forth above: <br />(SEAL) <br />(SEAL) <br />(SEAL) <br />$ 0.00 <br />$ 0.00 <br />(SEAL) <br />(SEAL) <br />(SEAL) <br />NOTICE TO PROPERTY OWNER: Under the N. C. Statutes, you are eligible to be reimbursed for a portion of your <br />current real property taxes prorated on time and value of area acquired by the Department of Transportation, and also <br />any penalties for prepayment actually paid and necessarily incurred by the acquisition on any mortgages entered into in <br />good faith. For a determination of eligibility to receive payment for the above, you may submit your paid receipts to the <br />Right of Way Office which handled your claim, the receipts will be forwarded to Raleigh for prorating and payment. <br />Should any additional information be required, contact R.0 <br />Sr. Right of Way Agent , Telephone Number <br />cc: Property Owner <br />Central Office <br />RAN Form 12.201 <br />Rev. July 1977 <br />Tuttle <br />(336) - 334 -3515 <br />�1 (W�' t-- <br />Si na re f Closing Attorney or Agent <br />